Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jodie Park, SLP

Individual provider Speech-Language Pathologist · NPI 1720218357

Jodie Park, SLP is a Speech-Language Pathologist in Brooklyn, New York. Practices as a sole proprietor. Licensed in Georgia and New York.

Licensed in
GA, NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

220 5th Ave Apt 3
Brooklyn, NY 11215-2048
Phone: (678) 612-6863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 020569 (NY)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SLP 004997 (GA)

Record details

NPI number1720218357
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorYes
NPI enumeratedJuly 16, 2009
Last updated in NPPESNovember 30, 2016

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